Organization Active NPI

Tender Loving Care Health Care Services of Georgia, L.L.C.

Doing business as Staff Builders Home Health

  • Home Health Agency
  • College Park, GA
National Provider Identifier
1710134267
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060-286 Issued in GA
Legal business name
TENDER LOVING CARE HEALTH CARE SERVICES OF GEORGIA, L.L.C.
Doing business as
Staff Builders Home Health
Practice address
2314 Sullivan Rd
Suite 120
College Park, GA 30337-6306
Phone
(404) 684-1932
Fax
(404) 763-1610
NPI assigned
Aug 26, 2008
Organization subpart
Yes
Parent organization
TENDER LOVING CARE HEALTH CARE SERVICES OF GEORGIA, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul B Kusserow
Title
President
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060-286 GA Primary

Addresses

Primary practice location

2314 Sullivan Rd
Suite 120
College Park, GA 30337-6306

Mailing address

3854 American Way
Suite a
Baton Rouge, LA 70816-4013
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
000281905HMedicaidGA

Other names 1

  • Staff Builders Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tender Loving Care Health Care Services of Georgia LLC2 organizations share this tax ID, including this one
Part of
Tender Loving Care Health Care Services of Georgia LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2314 Sullivan Rd
Ste 120
College Park, GA 30337
Phone (404) 684-1932

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1710134267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164013",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 SULLIVAN RD",
            "address_2": "SUITE 120",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303376306",
            "telephone_number": "404-684-1932",
            "fax_number": "404-763-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE HEALTH CARE SERVICES OF GEORGIA, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENDER LOVING CARE HEALTH CARE SERVICES OF GEORGIA, L.L.C.",
        "enumeration_date": "2008-08-26",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "KUSSEROW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060-286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000281905H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Staff Builders Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.